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逆向工程技术在腓骨瓣修复复杂下颌骨缺损中的应用 被引量:2
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作者 沈舜尧 柳稚旭 +5 位作者 姜腾飞 余婧爽 袁灏 张雷 史俊 王旭东 《上海交通大学学报(医学版)》 CAS CSCD 北大核心 2019年第9期1060-1064,1060,共5页
目的·采用逆向工程技术原理,设计制作截骨导板应用于腓骨瓣修复下颌骨缺损。方法·选取5例复杂下颌骨缺损患者作为研究对象,在其三维打印的下颌骨重建模型上预先弯制重建钛板,通过CT扫描重建下颌骨、钛板、钛钉的三维图像,采... 目的·采用逆向工程技术原理,设计制作截骨导板应用于腓骨瓣修复下颌骨缺损。方法·选取5例复杂下颌骨缺损患者作为研究对象,在其三维打印的下颌骨重建模型上预先弯制重建钛板,通过CT扫描重建下颌骨、钛板、钛钉的三维图像,采用面–面配准的技术逆向回原始下颌骨及腓骨表面,制作带有重建钛板钉孔空间位置的截骨导板。在术中,通过截骨导板截骨并确定重建钛板固定位置,完成多节段腓骨瓣的精确拼接。结果·5例患者均获得满意的临床疗效;术前设计与实际手术的截骨误差可以满足临床应用,其中最大误差为(3.53±2.33)mm,角度误差为3.31.±1.48.。结论·采用逆向工程技术原理设计的腓骨瓣截骨导板可以满足临床使用的要求,临床疗效满意。 展开更多
关键词 逆向工程技术 游离腓骨瓣 下颌骨缺损 虚拟设计
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p75 neurotrophin receptor positive dental pulp stem cells:new hope for patients with neurodegenerative disease and neural injury 被引量:3
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作者 DAI Jie-wen YUAN Hao +5 位作者 shen shun-yao LU Jing-ting ZHU Xiao-fang YANG Tong ZHANG Jiang-fei shen Guo-fang 《上海口腔医学》 CAS CSCD 北大核心 2013年第4期469-472,共4页
Neurodegenerative diseases and neural injury are 2 of the most feared disorders that afflict humankind by leading to permanent paralysis and loss of sensation.Cell based treatment for these diseases had gained special... Neurodegenerative diseases and neural injury are 2 of the most feared disorders that afflict humankind by leading to permanent paralysis and loss of sensation.Cell based treatment for these diseases had gained special interest in recent years.Previous studies showed that dental pulp stem cells(DPSCs) could differentiate toward functionally active neurons both in vitro and in vivo,and could promote neuranagenesis through both cell-autonomous and paracrine neuroregenerative activities.Some of these neuroregenerative activities were unique to tooth-derived stem cells and superior to bone marrow stromal cells.However,DPSCs used in most of these studies were mixed and unfractionated dental pulp cells that contain several types of cells,and most were fibroblast cells while just contain a small portion of DPSCs.Thus,there might be weaker ability of neuranagenesis and more side effects from the fibroblast cells that cannot differentiate into neural cells.p75 neurotrophin receptor(p75 NTR) positive DPSCs subpopulation was derived from migrating cranial neural crest cells and had been isolated from DPSCs,which had capacity of differentiation into neurons and repairing neural system.In this article,we hypothesize that p75 NTR positive DPSCs simultaneously have greater propensity for neuronal differentiation and fewer side effects from fibroblast,and in vivo transptantation of autologous p75 NTR positive DPSCs is a novel method for neuranagenesis.This will bring great hope to patients with neurodegenerative disease and neural injury.Supported by Key Basic Research Fund of Science and Technology Commission of Shanghai Municipality(10JC1408700). 展开更多
关键词 口腔科学 口腔疾病 临床 预防
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